- Texas Health Resources (Arlington, TX)
- …the effectiveness of performance improvement activities in order to achieve compliance with external agencies. 3. Collaborates with multi-disciplinary teams to ... including but not limited to Joint Commission, TMF, TDI, Medicare , and Milliman Care Guidelines. 2. Applies knowledge of...gender identity, status as a veteran, and basis of disability or any other federal , state or local protected… more
- Marshfield Clinic (Marshfield, WI)
- …to oversee expected payor analysis and government reimbursement involving Medicare cost report preparation, filing, and analysis. The Manager-Reimbursement & ... the needs of patients and customers first.** **Exclusion From Federal Programs: Employee may not at any time have...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more
- Molina Healthcare (Salt Lake City, UT)
- …the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare , Marketplace, and other ... Business Administration, Healthcare or related field. **Preferred Experience** 2+ years compliance related experience. 1+ years in Medicare . **Preferred License,… more
- Pine Acres Rehabilitation & Care Center (Fairfield, IA)
- …well as its programs and activities, in accordance with current state and federal laws and regulations; and respective practice act(s) in the state. Plans, develops, ... re-education or revisions related to the facility's outcomes, regulatory compliance , practice act(s) and/or customer satisfaction Develops and implements processes… more
- Penn State Health (Reading, PA)
- …information, and Medicare required information. + Complete all State and Federal regulatory requirements as determined by the type of visit and the patient's ... Department of Health regulatory components, accurate guarantor information, and Medicare required information. + Conduct full patient pre-registration and… more
- Humana (Frankfort, KY)
- …management or case management a plus + Health Plan experience + Previous Medicare /Geriatric Experience a plus + Bilingual is a plus **Work-At-Home Requirements** To ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Aveanna Healthcare (Hendersonville, TN)
- …quality of care and performs home visits as needed. + Ensures client compliance with federal /state regulations through policy and procedure administration to ... in a healthcare setting (home health or hospice) + Medicare Skilled Nursing experience and a basic understanding of...a basic understanding of OASIS As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- BJC HealthCare (Alton, IL)
- …attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal , state, and accreditation agencies. ... regulatory guidelines, must be able to understand, articulate and enforce hospital compliance with Medicare Secondary Payer (MSP), HIPAA Privacy Standards,… more
- CenterWell (Clarksville, IN)
- …administrators. Nearly 250,000 total patients served in 2022, including those in Medicare Advantage, value-based arrangements or other Medicare programs. As a ... the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and...wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on… more
- Humana (Louisville, KY)
- …Experience working with medical claims or other healthcare data + Medicare risk adjustment experience + Financial or actuarial background **Additional Information** ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more